Wilson's disease: best practice

J Clin Pathol. 2023 Jul;76(7):435-441. doi: 10.1136/jcp-2022-208551. Epub 2023 Apr 12.

Abstract

Wilson's disease is an autosomal recessive disorder arising from pathogenic variants in the Atp7b gene on chromosome 13. The defective translated ATPase copper (Cu) transport protein produced leads to Cu accumulation, initially affecting the liver but eventually affecting other cells. It is just over 20 years since the last Best Practice on this topic in this journal. This review is an update on this, covering new disease biomarkers, pathogenesis, assumptions around clinical features and developments in therapy.

Keywords: DIAGNOSIS; EDUCATION; GENETICS; NEUROPATHOLOGY.

Publication types

  • Review

MeSH terms

  • Copper / metabolism
  • Copper-Transporting ATPases / genetics
  • Hepatolenticular Degeneration* / diagnosis
  • Hepatolenticular Degeneration* / genetics
  • Humans

Substances

  • Copper-Transporting ATPases
  • Copper